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Severe malaria presenting to the ED: A collaborative approach utilizing exchange transfusion and artesunate

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Abstract We describe the case of a previously healthy 33 year‐old male pilot recently arrived to the United States from Africa. The patient presented to our ED febrile and disoriented,… Click to show full abstract

Abstract We describe the case of a previously healthy 33 year‐old male pilot recently arrived to the United States from Africa. The patient presented to our ED febrile and disoriented, with projectile coffee‐ground emesis. He was later found to have severe malaria and cerebral parasitemia. Due to the severity of his illness, the patient received the anti‐malarial medication Artesunate as well as several exchange transfusions. Within 48 h his parasitic load was reduced from 42% to 0.4%. The following is an account of a collaborative effort that spans the specialties of emergency medicine, infectious disease, and critical care medicine.

Keywords: medicine; malaria presenting; collaborative approach; presenting collaborative; exchange; severe malaria

Journal Title: American Journal of Emergency Medicine
Year Published: 2018

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